Page 1
Class VI Permit Application Completeness Checklist
Instructions: Mark the box to the left of each item to indicate whether the information is present in the permit application; document the location of the
information in the far-right column. Note also that some information is optional or may not be required for all applicants; these elements are denoted with an
asterisk (*). EPA intends that the quality of the information submitted by the permit applicant does not need to be addressed in the completeness checklist
because it will be considered as part of the technical evaluation. Additionally, Executive Orders and other Federal Laws (such as Environmental Justice
requirements, National Historic Preservation Act (NHPA), and Endangered Species Act (ESA)) should be contemplated by the permit applicant and permitting
authority early in the permitting processes but are not considered as part of the completeness evaluation.
The statutory provisions and EPA regulations described in this document contain legally binding requirements. This document does not substitute for those
provisions or regulations, nor is it a regulation itself. Thus, it does not impose legally binding requirements on EPA, States, or the regulated community, and may
not apply to a particular situation based upon the circumstances. EPA and State decisionmakers retain the discretion to adopt approaches on a case-by-case
basis that differ from this checklist where appropriate. Any decisions regarding a particular permit will be made based on the statute and regulations.
Therefore, interested parties are free to raise questions and objections about the substance of this checklist and the appropriateness of the application of this
checklist to a particular situation.
Required Item
Location in Application
GENERAL INFORMATION
Signatories to permit applications required in 40 CFR 144.32(a)
Permit application materials that are submitted to the
GSDT by applicants with a signed electronic signature
agreement (ESA) have met the signatory requirements
for Class VI applications.
Information required in 40 CFR 144.31 (e)(1)-(6) [40 CFR 146.82(a)(1)]
A listing of the activities conducted by the applicant which require RCRA, UIC, NPDES, or PSD permits. [40
CFR 144.31(e)(1)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Name, mailing address, and location of the facility. [40 CFR 144.31(e)(2)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Up to four SIC codes. [40 CFR 144.31(e)(3)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
The operator’s name, address, telephone number, ownership status, and status as Federal, State, private,
public, or other entity. [40 CFR 144.31(e)(4)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Page 2
Required Item
Location in Application
Whether the facility is located on Indian lands. [40 CFR 144.31(e)(5)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
A listing of all permits or construction approvals received or applied for under the following programs: [40
CFR 144.31(e)(6)]
(i) Hazardous Waste Management program under RCRA.
(ii) UIC Program.
(iii) NPDES.
(iv) PSD Program.
(v) CAA Nonattainment Program.
(vi) NESHAPS Preconstruction Approval under the CAA.
(vii) Ocean Dumping Permits under MPRSA.
(viii) Section 404 Dredge and Fill Permits.
(ix) Other Relevant Environmental Permits, including State permits.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Map of the Area [40 CFR 146.82(a)(2)]
A map showing the injection well and the AoR; it must also show the number or name and location of all:
Injection wells,
Producing wells,
Abandoned wells,
Plugged wells or dry holes,
Deep stratigraphic boreholes,
State- or EPA-approved subsurface cleanup sites,
Surface bodies of water,
Springs,
Mines (surface and subsurface),
Quarries,
Water wells,
Other pertinent surface features,
State, Tribal, and Territory boundaries, and
Roads.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
A list of contacts for those States, Tribes, and Territories within the AoR [40 CFR 146.82(a)(20)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Page 3
Required Item
Location in Application
GEOLOGIC NARRATIVE/SITE CHARACTERIZATION INFORMATION
The permit application will likely include a narrative description of the geologic structures, injection and confining zones, and fluid and solid geochemistry to meet the
requirements of 40 CFR 146.82(a)(3, 5, and 6) and 146.83. The geologic narrative may be supported by maps, cross sections, and tabular data.
Regional Geologic Structure and Hydrogeologic Properties [40 CFR 146.82(a)(3)]
The description of the geologic structure and hydrogeologic properties of the proposed storage site and overlying formations must include the items below:
Maps and Cross Sections of the AoR [40 CFR 146.82(a)(3)(i)]
The maps and cross sections may be accompanied by a brief narrative description interpreting the figures
and providing an overview of key features important to the project.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Information on Faults and Fractures [40 CFR 146.82(a)(3)(ii)]
This may be a narrative description of the location, orientation, and properties of known or suspected faults
and fractures and a discussion supporting a determination that they would not interfere with containment. It
may be accompanied by maps and cross sections and be supported by analyses of core samples, the results
of geophysical surveys, pore pressure data, etc.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Data on the Injection Zone(s) [40 CFR 146.82(a)(3)(iii)]
This narrative may describe plans to collect or the results of geologic cores, outcrop data, seismic surveys,
well logs, lithologic descriptions, and other field data used to characterize the injection zone(s), including
geology/facies changes. The application must address the following types of data on the injection zone(s):
Depth,
Areal extent,
Thickness,
Mineralogy,
Porosity,
Permeability, and
Capillary pressure.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Data on the Confining Zone(s) [40 CFR 146.82(a)(3)(iii)]
This narrative may describe plans to collect or the results of geologic cores, outcrop data, seismic surveys,
well logs, lithologic descriptions, and other field data used to characterize the confining zone(s), including
geology/facies changes. The application must address the following types of data on the confining zone(s):
Depth,
Areal extent,
Thickness,
Mineralogy,
Porosity,
Permeability, and
Capillary pressure.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Page 4
Required Item
Location in Application
Geomechanical and Petrophysical Information about the Confining Zone(s) [40 CFR 146.82(a)(3)(iv)]
A narrative description of the confining zone(s) may describe the testing performed (or planned) and
available results in a tabular and/or graphical form; it may include maps and present seismic or other
geophysical data, core data, or well logs. The application must address the following about the confining
zone(s):
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Fractures.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Stress.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Ductility.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Rock strength.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
In situ fluid pressures.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Information on Seismic History [40 CFR 146.82(a)(3)(v)]
A narrative description of the presence and depth of seismic sources and a determination that seismicity
would not interfere with containment that may be accompanied by tables and/or maps of seismic events,
sources, and depths.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Geologic and Topographic Maps and Cross Sections [40 CFR 146.82(a)(3)(vi)]
These maps and cross sections of regional geology, hydrogeology, and local geologic structure may be
accompanied by a narrative description or interpretations of logs or core data.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Hydrologic Information/Maps and Cross Sections of USDWs [40 CFR 146.82(a)(5)]
The maps and stratigraphic cross sections of the vertical and lateral limits of all USDWs may be accompanied
by a narrative interpretation of the figures. The maps/cross sections must show:
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Page 5
Required Item
Location in Application
Water wells and springs within the AoR.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Their positions relative to the injection zone(s).
GSDT Module/Folder:
File Name:
Page Number:
Notes:
The direction of water movement, where known.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Baseline Geochemical Data [40 CFR 146.82(a)(6)]
The narrative description of available geochemical data on fluid- and solid-phase geochemistry of all
subsurface formations (including USDWs) in the AoR may describe: results or planned sampling/testing, the
parameters analyzed, and any geochemical modeling that was performed, along with data sources, data
quality or gaps, and sampling/testing methods. It may be accompanied by tabular or graphical data,
statistics, and maps.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Demonstration of Site Suitability [40 CFR 146.83]
This narrative demonstration may be accompanied by maps, cross sections, tables of relevant geological
data, or descriptions of model inputs/results. It must describe:
• The suitability of the injection zone [40 CFR 146.83(a)(1)], and
• The suitability of the confining zone [40 CFR 146.83(a)(2)].
(*) It may also describe additional confining zone(s) [40 CFR 146.83(b)]; a description of additional confining
zones is not required of all projects.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
PLANNED WELL OPERATIONS
Proposed average and maximum daily rate and volume and/or mass and total anticipated volume and/or
mass of the CO
2
stream. [40 CFR 146.82(a)(7)(i)]
A narrative or tabular description that may be accompanied by calculations.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Proposed average and maximum injection pressure. [40 CFR 146.82(a)(7)(ii)]
A narrative or tabular description that may be accompanied by calculations.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
The source(s) of the CO
2
. [40 CFR 146.82(a)(7)(iii)]
A narrative description of the CO
2
source.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Page 6
Required Item
Location in Application
An analysis of the chemical and physical characteristics of the CO
2
stream. [40 CFR 146.82(a)(7)(iv)]
A narrative description that may be accompanied by tables of parameters or analytical reports.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
AREA OF REVIEW (AoR) AND CORRECTIVE ACTION PLAN
The Method for Delineating the AoR [40 CFR 146.82(a)(13), 146.84(b)(1)]
A narrative description of the AoR delineation model used, which may include assumptions made, any
available outputs/results, and the inputs on which the model is based. It may be accompanied by tables,
figures and graphics, or raw data in a tabular format. Some input data files may be uploaded directly to the
GSDT.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
AoR Reevaluation Schedule and Criteria, Including:
A description of the minimum fixed frequency, not to exceed 5 years, for AoR reevaluations. [40 CFR
146.84(b)(2)(i)];
The monitoring and operational conditions that would warrant a reevaluation of the AoR prior to the
next scheduled reevaluation. [40 CFR 146.84(b)(2)(ii)]; and
How monitoring and operational data will be used to inform an AoR reevaluation. [40 CFR
146.84(b)(2)(iii)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Corrective Action Information [146.84(b)(2)(iv)]
A narrative discussion of how corrective action was/will be conducted. If phased corrective action is planned,
the application must describe the following:
GSDT Module/Folder:
File Name:
Page Number:
Notes:
How the phasing will be determined.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
How corrective action will be adjusted if there are changes in the AoR.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
How site access for future corrective action will be guaranteed.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Tabulation of Wells in the AoR [40 CFR 146.82(a)(4); 40 CFR 146.84(c)(2)]
The AoR and Corrective Action Plan must include a table listing wells within the AoR that penetrate the
injection or confining zones or a statement there are no wells that penetrate the confining zone within the
AoR. Other penetrations of the confining zone(s), such as underground mines, also must be identified. If a
table is submitted, it must include the following information:
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Page 7
Required Item
Location in Application
Well type.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Description of the well’s construction.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Date drilled.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Location.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Depth.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Record of plugging and/or completion.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
TESTING AND MONITORING PLAN
Testing and Monitoring Plan [40 CFR 146.82(a)(15); 146.90]
The Testing and Monitoring Plan will be a narrative description of planned injection-phase testing activities
that is accompanied by maps, tables, illustrations, or step-by-step procedures that describe the following:
GSDT Module/Folder:
File Name:
Page Number:
Notes:
CO
2
Stream Analysis [40 CFR 146.90(a)]
Narrative description that may describe analytical parameters, sampling methods, sampling locations, and
frequencies.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Continuous Recording of Operational Parameters [40 CFR 146.90(b)]
Narrative description of devices to continuously monitor and record injection pressure, rate, and volume;
tubing-casing annulus pressure; and annulus fluid volume added. May be depicted on well schematics.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Page 8
Required Item
Location in Application
Corrosion Monitoring [40 CFR 146.90(c)]
Narrative description of corrosion monitoring methods that may describe sampling methods/locations or
testing frequency.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Above Confining Zone Monitoring [40 CFR 146.90(d)]
Narrative description of planned water quality monitoring that may describe well locations; analytical
methods and parameters; sampling locations and methods, formations/depths, and frequencies. The
description may be accompanied by maps, monitoring well schematics, or tables of analytical parameters
and methods.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
External Mechanical Integrity Testing [40 CFR 146.90(e)]
Narrative (sometimes step-by-step) description of mechanical integrity tests (MITs) and their planned
frequency.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Pressure Fall-Off Testing [40 CFR 146.90(f)]
Narrative (sometimes step-by-step) description of pressure fall-off tests and their planned frequency.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Direct CO
2
Plume and Pressure Front Tracking [40 CFR 146.90(g)(1)]
Narrative description of planned direct methods to track the CO
2
plume and pressure front that may include
well locations; analytical methods and parameters; sampling locations and formations/depths; and
frequencies. The description may be accompanied by maps, monitoring well schematics, or tables of
analytical parameters and methods.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Indirect CO
2
Plume and Pressure Front Tracking [40 CFR 146.90(g)(2)]
Narrative description of planned indirect methods to track the CO
2
plume and pressure front; it may
describe: well locations; monitoring equipment; or geophysical survey extent/resolution. The description may
be accompanied by maps, monitoring well or equipment schematics, or tables.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
* Surface Air Monitoring and/or Soil Gas Monitoring [40 CFR 146.90(h)]
This type of monitoring is not required for all projects; if it is included, it would be a narrative description of
planned methods detect CO
2
in the soil or atmosphere (including monitoring locations, equipment, and
frequencies) that may be accompanied by maps or illustrations.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
* Other Monitoring [40 CFR 146.90(i)]
Additional monitoring is not required for all projects; if it is included, it would be a narrative description of
the types of monitoring (e.g., seismic), including: methods, equipment, locations, and frequencies that may
be accompanied by maps, illustrations, or tables.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Quality Assurance and Surveillance Plan [40 CFR 146.90(k)]
Narrative description of planned quality assurance procedures for all testing and monitoring activities.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Page 9
Required Item
Location in Application
INJECTION WELL PLUGGING PLAN
Well Plugging Plan [40 CFR 146.82(a)(16); 146.92(b)]
The Well Plugging Plan may be a narrative (sometimes step-by-step) description of plugging procedures for
the injection well. It may be accompanied by schematics and tables. The plan must include the following
information:
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Tests or measures for determining bottomhole reservoir pressure. [40 CFR 146.92(b)(1)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
External mechanical integrity testing methods. [40 CFR 146.92(b)(2)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
The type and number of plugs to be used. [40 CFR 146.92(b)(3)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
The placement of each plug, including the elevation of the top and bottom of each plug. [40 CFR
146.92(b)(4)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
The type, grade, and quantity of material to be used in plugging. [40 CFR 146.92(b)(5)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
The method of placement of the plugs. [40 CFR 146.92(b)(6)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
POST-INJECTION SITE CARE (PISC) AND SITE CLOSURE PLAN
PISC and Site Closure Plan [40 CFR 146.82(a)(17); 146.93(a)(1)]
The plan will be a narrative discussion, accompanied by maps, cross sections, tables, or model outputs that
must include the following information:
GSDT Module/Folder:
File Name:
Page Number:
Notes:
The differential between pre-injection and predicted post-injection pressures in the injection zone(s).
[40 CFR 146.93(a)(2)(i)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Page 10
Required Item
Location in Application
The predicted position of the CO
2
plume and associated pressure front at site closure. [40 CFR
146.93(a)(2)(ii)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
A description of post-injection monitoring locations, methods, and proposed frequencies. [40 CFR
146.93(a)(2)(iii)] This may include well locations; analytical methods and parameters; and sampling
locations, formations/depths, and frequencies.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
A proposed schedule for submitting post-injection site care monitoring results. [40 CFR 146.93(a)(2)(iv)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
The duration of the post-injection site care timeframe. [40 CFR 146.93(a)(2)(v)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
* Alternative Post-Injection Site Care Timeframe [40 CFR 146.82(a)(18); 146.93(c)]
If the applicant proposes an alternative to the 50-year default PISC timeframe, the demonstration may be
part of the PISC and Site Closure Plan or be submitted as a separate document. The request must include or
reference the following:
GSDT Module/Folder:
File Name:
Page Number:
Notes:
The results of computational modeling of the AoR. [40 CFR 146.93(c)(1)(i)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
The predicted timeframe for pressure decline within the injection zone and any other zones to pre-
injection pressures. [40 CFR 146.93(c)(1)(ii)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
The predicted rate of CO
2
plume migration within the injection zone and the predicted timeframe for
the cessation of migration. [40 CFR 146.93(c)(1)(iii)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
A description of the site-specific processes that will result in CO
2
trapping. [40 CFR 146.93(c)(1)(iv)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Page 11
Required Item
Location in Application
The predicted rate of CO
2
trapping. [40 CFR 146.93(c)(1)(v)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
The results of laboratory analyses, research studies, and/or field or site-specific studies to verify the
above information. [40 CFR 146.93(c)(1)(vi)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
A characterization of the confining zone(s), including a demonstration that it is free of faults and
fractures and is sufficiently thick, and will impede fluid movement. [40 CFR 146.93(c)(1)(vii)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
The presence of potential conduits for fluid movement. [40 CFR 146.93(c)(1)(viii)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
A description of the well’s construction and an assessment of the quality of plugs of all abandoned wells
in the AoR. [40 CFR 146.93(c)(1)(ix)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
The distance between the injection zone and the nearest USDWs. [40 CFR 146.93(c)(1)(x)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Page 12
Required Item
Location in Application
EMERGENCY AND REMEDIAL RESPONSE PLAN
Emergency and Remedial Response Plan [40 CFR 146.82(a)(19); 146.94(a)]
The Emergency and Remedial Response Plan will be a narrative description of local resources and
infrastructure, potential emergency events and response actions, personnel, and equipment to address
USDW endangerment. It may be accompanied by maps, illustrations, and tables.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
INJECTION WELL CONSTRUCTION PLAN
Description of the Casing and Cement [40 CFR 146.82(a)(11, 12); 146.86(b)]
Well schematics (either planned or as-built) that show the surface casing and at least one long string casing.
The schematics may be accompanied by a narrative step-by-step process for installing casing strings,
description of centralizers, cementing procedures, cement and cement additives. The application may also
include a narrative description of how the casing and cement will be compatible with fluids with which they
may come into contact and meet or exceed API/ASTM standards. The application must address the following
information (which may be presented in tables):
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Depth to the injection zone(s). [40 CFR 146.86(b)(1)(i)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Injection pressure, external pressure, internal pressure, and axial loading. [40 CFR 146.86(b)(1)(ii)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Hole size. [40 CFR 146.86(b)(1)(iii)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Size and grade of all casing strings. [40 CFR 146.86(b)(1)(iv)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Corrosiveness of the CO
2
stream and formation fluids. [40 CFR 146.86(b)(1)(v)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Down-hole temperatures. [40 CFR 146.86(b)(1)(vi)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Page 13
Required Item
Location in Application
Lithology of the injection and confining zone(s). [40 CFR 146.86(b)(1)(vii)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Type or grade of cement and cement additives. [40 CFR 146.86(b)(1)(viii)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Quantity, chemical composition, and temperature of the CO
2
stream. [40 CFR 146.86(b)(1)(ix)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Description of the Tubing and Packer [40 CFR 146.86(c)]
The tubing and packer may be depicted on the well schematics described above, and the information below
may be summarized in tables. The application may also include a narrative description of how the tubing and
packer materials will be compatible with fluids with which they may come into contact and meet or exceed
API/ASTM standards. The application must include the following information:
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Depth of setting. [40 CFR 146.86(c)(3)(i)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Characteristics of the CO
2
stream and formation fluids. [40 CFR 146.86(c)(3)(ii)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Maximum proposed injection pressure. [40 CFR 146.86(c)(3)(iii)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Maximum proposed annular pressure. [40 CFR 146.86(c)(3)(iv)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Proposed injection rate and volume and/or mass of the CO
2
stream. [40 CFR 146.86(c)(3)(v)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Page 14
Required Item
Location in Application
Size of tubing and casing. [40 CFR 146.86(c)(3)(vi)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Tubing tensile, burst, and collapse strengths. [40 CFR 146.86(c)(3)(vii)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Continuous Recording Devices and Automatic Shutoff Devices [40 CFR 146.88(e)]
The well schematics should show continuous recording devices and automatic shutoff devices to monitor:
injection pressure; the rate, volume and/or mass, and temperature of the CO
2
stream; and the pressure on
the annulus between the tubing and the long string casing and annulus fluid volume.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
PRE-OPERATIONAL TESTING
Pre-Operational Testing Plan [40 CFR 146.82(a)(8); 146.87]
A narrative plan that describes the testing that the applicant has performed or plans to perform to
characterize the well and all relevant geologic formations. The plan may include step-by-step procedures and
be accompanied by tables or graphics. At a minimum, the logs and tests must address the information and
testing required at 146.87 (a) through (e), including: logs, surveys and tests to determine or verify
information about relevant geologic formations; tests to verify internal and external mechanical integrity;
reports/analysis of injection zone and confining zone cores and formation fluid samples; and
characterization of the injection zone(s).
GSDT Module/Folder:
File Name:
Page Number:
Notes:
FINANCIAL RESPONSIBILITY DEMONSTRATION
Proposed Financial Responsibility Demonstration [40 CFR 146.82(a)(14); 146.85(a)]
The application must include a cost estimate for performing covered activities; it may be accompanied by a third-party estimate. Cost estimates for the following activities
must be included:
Corrective action. [40 CFR 146.85(a)(2)(i)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Injection well plugging. [40 CFR 146.85(a)(2)(ii)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
PISC and site closure. [40 CFR 146.85(a)(2)(iii)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Page 15
Required Item
Location in Application
Emergency and remedial response. [40 CFR 146.85(a)(2)(iv)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Proposed Financial Instrument(s) [40 CFR 146.85(a)(1)]
The application will include a narrative description (or draft language) of one or more financial instruments.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
PROPOSED STIMULATION PLAN
* Proposed Stimulation Program [40 CFR 146.82(a)(9)]
The stimulation plan should include a narrative description of stimulation fluids to be used and a
determination that stimulation will not interfere with containment.
GSDT Module/Folder:
File Name:
Page Number:
Notes:
INJECTION DEPTH WAIVER REQUEST
* Injection Depth Waiver Request [40 CFR 146.95]
If the applicant requests a waiver of the requirement to inject below the lowermost USDW, they must submit a separate narrative report, accompanied by maps, cross
sections, tables, or schematics. The supplemental report must include (or reference) the following:
Information about the suitability of the injection zones. [40 CFR 146.95(a)(1)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Information about confinement. [40 CFR 146.95(a)(2)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Demonstration, using computational modeling, that USDWs will not be endangered. [40 CFR
146.95(a)(3)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Information on well design and construction. [40 CFR 146.95(a)(4)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Planned testing and monitoring. [40 CFR 146.95(a)(5)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
Page 16
Required Item
Location in Application
The location of all public water supplies affected, reasonably likely to be affected, or served by USDWs
in the AoR. [40 CFR 146.95(a)(6)]
GSDT Module/Folder:
File Name:
Page Number:
Notes:
